| Bay Area Community Services Inc | |
|
236 Georgia St Suite 101 Vallejo CA 94590-5991 | |
| (510) 613-0330 | |
| Not Available |
| Full Name | Bay Area Community Services Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 236 Georgia St, Vallejo, California |
| Authorized Official Name and Position | Samantha Marie Fryer (SR. DIRECTOR, QUALITY IMPROVEMENT) |
| Authorized Official Contact | 5103186135 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Area Community Services Inc 1814 Franklin St Fl 4 Oakland CA 94612-3487 Ph: (510) 613-0330 | Bay Area Community Services Inc 236 Georgia St Suite 101 Vallejo CA 94590-5991 Ph: (510) 613-0330 |
| NPI Number | 1659770873 |
|---|---|
| Provider Enumeration Date | 08/14/2014 |
| Last Update Date | 05/01/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659770873 | NPI | - | NPPES |
| 01L2 | Medicaid | CA | |
| 81951 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1539 (California) | Primary |
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